NPI | 1578658332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401414445) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN16164) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2015-02-05 |